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Outcome of 20 gauge transconjunctival cannulated sutureless vitrectomy using silicone oil and air tamponade

Session Details

Session Title: Quick Fire Free Paper Session 02

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 15:40

Venue: Hall G1 (Level 2)

First Author: M.Abdrabbo EGYPT

Co Author(s):    A. Abd El Alim Mohamed              

Abstract Details

Purpose:

To study the outcome of Pars Plana Vitrectomy (PPV) with a 20-gauge Transconjunctival Cannulated Sutureless (TCS) system in cases of retinal detachment of different causes with both air and silicone oil Tamponade

Setting:

Benha University ,Faculty of Medicine , Ophthalmology Dep.

Methods:

A prospective study was performed on the first consecutive 60 eyes of 60 patients who underwent 20-gauge TCS Vitrectomy 30 eyes with air Tamponade and 30 eyes with silicone oil Tamponade

Results:

The preoperative intraocular pressure changed from 17.67± 5.6 mm Hg to 18.78± 6.1 mm Hg in the first postoperative day in group A and from 16.97± 4.9 mm Hg preoperatively to 15.88± 5.3 mm Hg in the first postoperative day in group B, these differences were not statistically significant (p > 0.05),The comfort score ranged from 1 to 5 where 1= very bad, 2= bad, 3= good, 4= very good and 5= excellent, the mean comfort score was 4.4 ± 0.94 at the 1st postoperative day in group A and was 4.35 ± 0.99 at the 1st postoperative day in group B with no significant difference between both groups in discomfort score at all the follow up periods. There was intraoperative wound leakage in 2 cases (6.7%) in group A which required suturing. One case (3.3%) in group B with no statistical significant difference (p > 0.05). There was no wound leakage on follow up for both groups (0%).

Conclusions:

Pars plana vitrectomy with a 20-gauge transconjunctival cannulated sutureless (TCS) system has the potential of combining the advantages of smaller-gauge vitrectomy systems with the economical advantage of not needing to purchase any additional handheld instruments, It can be used in nearly all cases of retinal detachment with both air and silicone oil tamponade.

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